Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.68 / $8,107.09 / $15,978.56	Facility		$256.68	$8,107.09	$15,978.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.71 / $194.47 / $616.00	Professional		$132.71	$194.47	$616.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.87 / $287.07 / $395.32	Professional		$180.87	$287.07	$395.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.03 / $295.81 / $333.05	Professional		$207.03	$295.81	$333.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.19 / $251.85 / $327.24	Facility		$138.19	$251.85	$327.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $206.55 / $246.40 / $425.45	Professional		$206.55	$246.40	$425.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $188.47 / $252.20 / $269.33	Facility		$188.47	$252.20	$269.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.19 / $300.70 / $7,952.00	Facility		$138.19	$300.70	$7,952.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.49 / $308.45 / $395.32	Professional		$230.49	$308.45	$395.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $244.79 / $329.84 / $421.70	Professional		$244.79	$329.84	$421.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.58 / $293.83 / $419.49	Professional		$202.58	$293.83	$419.49